Welfare Fraud Complaint Form

The purpose of this form is to provide another avenue for the public to file a welfare fraud complaint against a business. A complaint should be completed only if the business has been issued benefits which you believe they were not entitled to. To ensure that your complaint is investigated thoroughly, please complete this form and provide as much information as possible.

A complaint may also be made by calling the Welfare Fraud hotline at 1-800-222-8558.

If you suspect retailers (stores) are accepting food stamp benefits for unauthorized items (e.g., alcohol, tobacco, lottery tickets), contact USDA-Food and Nutrition Services Compliance Section at (313) 226-4930 [Metropolitan Detroit area] or
(616) 954-0319 [Outstate].

Note: All fields with a red asterisk (*) must be filled out for the complaint to be processed.

This form is only for submitting Welfare Fraud Complaints for the state of Michigan.

Please click Here to find fraud contact information for other states.


 * Business Name:
Business Phone: () -
Fein #:  
 * Address: Provider #:  
Address 2: State:
* City:  Zip:  


* Allegation:



If you have hardcopy documents you would like to have included in the investigation you may:

Fax it to us at: (517) 335-6236 or 335-6054
Mail it to us at: DHS Welfare Fraud, P.O.Box 30037, Lansing, MI 48909

Note: The additional documents may assist us in further processing your complaint.

 


Complainant Information (optional).

How would you like to be contacted?

First Name: Last Name:
Phone Number: ( ) -
Email Address:
Address: City:
Address 2: State:
Zip: